Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nyle Qavi Masoom

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104757491

Mr. Nyle Qavi Masoom is a Student in an Organized Health Care Education/Training Program in Pittsford, New York. Licensed in Kentucky. Registered with an NPI since 2026.

Licensed in
KY
In the registry since
2026

Practice location Address checks out

30 Hedge Wood Ln
Pittsford, NY 14534-9548
Phone: (585) 200-4039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (KY)

Record details

NPI number1104757491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address30 Hedge Wood Ln, Pittsford, NY 14534-9548

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